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Patient demand for online or e-medicine prescribing appears to be growing and, along with it, concerns about the safety of prescribing over the Internet. A new study from the University of Utah, Salt Lake City, and others has revealed some surprising findings about the safety of online prescribing.

Men with early prostate cancer who undergo radical prostatectomy have a lower rate of death from prostate cancer than do men who undergo watchful waiting, according to a study published in the Journal of the National Cancer Institute (2008: 100:1144-54).

Giving patients a continuous low dose of an immune system booster, a method known as metronomic dosing, as part of a therapeutic prostate cancer vaccine strategy is safe and produces similar immune responses to, and fewer side effects than, the more common dosing method, which is not well tolerated by many patients, according to a study by researchers at the National Cancer Institute.

Studies in urinary tract infections provided the foundation for rapid diagnosis of common urinary tract infection pathogens and opened windows into the mechanisms underlying chronic prostatitis and interstitial cystitis, two diseases characterized by their resistance to treatment.

Long-term results from Southwest Oncology Group trial S8949 confirm the original study finding that performing palliative debulking surgery prior to starting systemic therapy with interferon alfa-2b confers a survival benefit in patients with advanced renal cell carcinoma.

Results of a phase three study evaluating second-line chemotherapy with gemcitabine/paclitaxel for metastatic bladder cancer failed to answer its primary question of whether maintenance treatment is superior to a temporary six-cycle regimen because maintenance treatment was usually not possible. However specific subgroups of patients who may be more likely to benefit from this combination regimen after failing first-line chemotherapy.

Pediatric urologists have confirmed that environmental pollutants can impair male sexual development and fertility and that reinnervation of the bladder after spinal cord injury may be within reach.

Studies that looked at botulinum-A toxin for overactive bladder, studies of the transobturator male sling, and an investigation of stem cell injections for stress urinary incontinence all show promise, but all raise important clinical questions.

Bacillus Calmette-Guerin remains the treatment of choice for bladder cancer in the United States, but more than half of patients with nonmuscle-invasive bladder cancers will eventually fail BCG. Several promising alternative treatments are under development, but radical cystectomy remains the optimal choice for patients who fail BCG.

The bisphosphonate zoledronic acid (Zometa) offers significant benefit in lowering the skeletal-related events rate in patients with bony metastatic bladder cancer, according to results of a prospective, randomized, placebo-controlled study.

Blockage by the selective inhibitor abiraterone acetate of cytochrome P (CYP) 17 is safe and has significant antitumor activity in castration-resistant prostate cancer, according to a phase I study from the Royal Marsden NHS Foundation Trust, Sutton, Surrey, United Kingdom. The data confirm that castration-resistant prostate cancer commonly remains dependent on ligand-activated androgen receptor signaling, study authors say.